Arrowhead Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-031-1409 Issued in GA

Legal business name

ARROWHEAD OPERATOR LLC

Doing business as

Arrowhead Health and Rehab

Practice address

239 Arrowhead Blvd
Jonesboro, GA 30236-1101

Phone

(770) 478-3013

Fax

(770) 478-3446

NPI assigned

Mar 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimnie Chan Bennett

Title

Administrator

Phone

(770) 478-3013

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arrowhead Health and Rehab Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellis Mossaded, M.D.

  • General Practice Physician
  • Gainesville, GA
  • NPI 1790195261
  NPD (past)
• Richard I Wright, MD

  • Internal Medicine Physician
  • Riverdale, GA
  • NPI 1770573552
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1609048792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361101",
            "telephone_number": "770-478-3013",
            "fax_number": "770-478-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361101",
            "telephone_number": "770-478-3013",
            "fax_number": "770-478-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KIMNIE",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-478-3013"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-031-1409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143162A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrowhead Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher E Armour, MD
• Jamal Armstrong, LMT
• Carol Arnold, RN
• Arrowhead Clinic, Inc.
• Arrowhead Healthcare, LLC (Arrowhead Healthcare)
• Arrowhead Post Acute LLC
• Art Cares Transportation LLC
• Ascending Solutions LLC
• Associated Counseling, Inc
• At Home Care Services

• Skilled Nursing Facility in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.